FAZLE AZEEM

FAR ROCKAWAY, NY
NPI1760057194
Former NameMD FAZLE AZEEM
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: NY  109585-01)
Enumeration Date2021-05-27
Last Update Date2024-11-03
Business Address
FAZLE AZEEM MD
5015 BEACH CHANNEL DR
FAR ROCKAWAY, NY 11691-1110
Phone number: 718-734-2000
Mailing Address
FAZLE AZEEM MD
40 DORA ST
STATEN ISLAND, NY 10314-2107
Phone number: 917-202-8684
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